NPI | 1295514008 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA MICHELLE BOURGOIN Owner 603-505-0326 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-09-22 |
Last Update Date | 2023-09-22 |